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Ethnic Differences in Fertility and Assisted Reproduction (Hardcover, 2013 ed.)
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Ethnic Differences in Fertility and Assisted Reproduction (Hardcover, 2013 ed.)
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Over the past 10 years, studies have shown that the rates of
fertility vary in different ethnic groups. Ethnic differences also
play a significant role in the outcome of assisted reproductive
technology (ART) cycles. In the United States, minority
groups--African Americans, Hispanics (mainly Mexicans and Central
Americans), East Asians (Chinese, Japanese, Koreans, Philippinos)
and South Asians (Indians, Pakistanis, and Bengalis)--have
significantly lower chances of live births compared to Caucasian
women. Birth outcome data collected by the Society for Assisted
Reproductive Technology shows a worsening trend in conception rates
between the years 1999-2000 and 2004-2006, raising more concern
that the disparity in fertility rates between minority groups and
white women is widening over time. This comprehensive book serves
to answer the questions that arise when managing infertility in a
multi-ethnic population. An expert assembly of key leaders in the
field of reproductive medicine imparts insight and clinical
experience in order to identify and analyze the possible causes of
racial disparities in fertility outcome. Some of the reviewed
causes include higher Body Mass Index (BMI), tubal diseases,
metabolic syndrome, and fibroids in African Americans; tubal
disease and higher early pregnancy loss in Hispanics; higher
incidence of diminished ovarian reserve and lower BMI in East
Asians; and higher incidence of polycystic ovarian disease (PCOS)
in South Asians. The book also provides a review of data on access
to care and ART services in developing countries. A thoughtful
combination of evidence-based medicine and advanced treatment
options, this book is sure to distinguish itself as the definitive
reference on ethnic differences in assisted reproduction.
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